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术后CT成像用于描述儿科和青少年脊柱切除中的融合

K Aaron Shaw¹, Kendall Anigian², Daniel J Sucato³

¹Department of Pediatric Orthopaedic Surgery, Children's Mercy Hospital, Kansas City, MO, USA. shaw.aaron82@gmail.com.

Spine deformity

|October 27, 2023

概括

术后CT扫描在儿科患者的脊柱切除 (VCR) 后有效选伪. 通过CT成像进行早期检测可以指导干预措施,以防止植入物失效并改善融合结果.

科学领域:

整形外科手术整形外科手术
脊柱外科手术脊柱外科手术
儿科整形外科儿科整形外科

背景情况:

脊柱切除 (VCR) 是严重脊椎形的关键手术技术.
伪硬化是VCR的重要并发症,可能导致植入物失败.
早期发现伪关节炎对于成功治疗患者的结果至关重要.

研究的目的:

评估术后计算机断层扫描 (CT) 影像在视频录像后即将发生的伪关节查中的实用性.
评估CT在指导脊髓融合并发症的预防性干预中的作用.
为了确定常规CT成像是否可以在儿科和青少年患者中更早地发现并发症.

主要方法:

一个单一的外科医生的一系列仅用于后部的视频录像机手术的回顾性审查.
收集人口统计,放射和临床数据.
在骨切割部位进行术后CT成像,在VCR后6-9个月,以分级融合并识别伪.

主要成果:

22名患者接受了手术后CT成像.
两名患者被确定患有即将发生的伪;一个接受了修复手术,另一个拒绝了,后来需要硬件修改.
没有一个稳定的CT记录融合的患者出现了临床上显著的伪.

结论:

骨切割部位的术后CT成像是VCR后查即将发生的伪的宝贵工具.
在6-9个月时进行常规CT查,可以促进早期检测和预防性干预.
在儿童和青少年脊柱形患者中,CT成像有助于决定恢复活动或需要修复手术.

关键词:

图像扫描 (CT) 扫描是一种扫描.儿科变形症儿童变形症伪关节炎是一种伪关节炎.脊柱切除脊柱切除脊柱切除

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